Member Registration

Join United Super Alliance Party today and be part of our community

First Name *

Last Name *

ID/Passport No

Date of Birth *

Email Address (Optional)

Phone Number *

+254

Postal Address *

Physical Address *

Gender *

Ethnicity *

Do you have a disability?

NCPWD Number (if applicable) *

Religion *

County *

Ward *

Polling station *

I, the undersigned do hereby affirm/declare/confirm/verify that I am not a member of any other registered political party in Kenya. *

This declaration is mandatory for registration. You must check this box to proceed.

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